1. Home
  2. Directory
  3. California
  4. Porter Ranch
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA QUYNH PHAN
NPI 1629773288
Pediatrics in Porter Ranch, CA

Active since April 03, 2023
20179 RINALDI ST STE 100, PORTER RANCH, CA 91326(818) 341-1020 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Amanda Quynh Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA QUYNH PHAN (NPI 1629773288) is an individual pediatrics provider in Porter Ranch, California, licensed in California (20A24933) and active in the NPI registry since April 2023. She maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1629773288
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA QUYNH PHAN
Location Address20179 RINALDI ST STE 100Porter Ranch, CA 91326-4935
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200
Phone(818) 341-1020
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1629773288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · 20A24933✔ Licensed in GU · TLL-2026-004
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20179 RINALDI ST STE 100, Porter Ranch, CA 91326
Open in Google Maps ↗

Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4174

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN MICHAEL SHAW LMFT 143909
Marriage & Family Therapist
20179 RINALDI ST STE 100
PORTER RANCH, CA 91326
Los Angeles County (310) 301-7396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Phan's NPI number?

The NPI number for Amanda Phan is 1629773288. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Amanda Phan located?

Amanda Phan practices at 20179 Rinaldi St Ste 100, Porter Ranch, CA 91326. The listed phone number is (818) 341-1020.

What is Amanda Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Amanda Phan was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.